本文關鍵詞：城區(qū)成年居民體力活動模式與超重及肥胖的關系研究　出處：《中國全科醫(yī)學》2016年32期 　論文類型：期刊論文

  更多相關文章： 超重 肥胖癥 體力 久坐生活方式 成年人

【摘要】：背景增加體力活動位居健康促進措施之首,其健康效應已涉及超重、肥胖及相關慢性病的發(fā)生、發(fā)展和預后。而大量久坐行為獨立于中高強度體力活動水平,增加超重、肥胖及相關慢性病的患病風險。因此,要評估體力活動與肥胖間的真實效應,僅關注中高強度活動或靜坐活動是片面的,應綜合考慮日常生活中多種體力活動組合形式與超重、肥胖的關聯(lián)。目的探討城區(qū)成年居民不同體力活動模式與超重、肥胖的關系。方法于2013年3—10月,采用多階段隨機抽樣方法,在南京市和上海市選取756名成年居民進行調(diào)查。收集研究對象性別、年齡、文化程度、身高、體質(zhì)量、慢性病患病情況,采用體力活動日志調(diào)查研究對象連續(xù)7 d的體力活動時間。采用因子分析評價研究對象體力活動模式,將各體力活動模式的因子得分分為等距的4組,由低到高將研究對象分為Q1組、Q2組、Q3組和Q4組。結果研究對象超重率和肥胖率分別為33.2%(251/756)和6.3%(48/756)。男性超重率、肥胖率均高于女性(χ2=23.80、8.79,P0.01)。各年齡段超重率比較,差異有統(tǒng)計學意義(χ2=23.20,P0.05)。因子分析提取前4個為主要因子,特征值分別為2.52、2.00、1.45和1.18,累積貢獻率為57.5%,分別命名為久坐模式、居家模式、均衡模式、鍛煉模式。Logistic回歸分析顯示,經(jīng)校正混雜因素后,久坐模式是超重、肥胖的危險因素,居家模式是超重、肥胖的保護因素(P0.05)。未發(fā)現(xiàn)均衡模式、鍛煉模式與超重、肥胖的發(fā)生風險有關(P0.05)。久坐模式Q1組與Q4組中強度活動、高強度活動時間百分比比較,差異均無統(tǒng)計學意義(P0.05);Q1組靜坐活動時間百分比低于Q4組,低強度活動時間百分比高于Q4組,總能耗高于Q4組(P0.05)。居家模式Q1組與Q4組中強度活動、高強度活動時間百分比比較,差異均無統(tǒng)計學意義(P0.05);Q1組靜坐活動時間百分比高于Q4組,低強度活動時間百分比低于Q4組,總能耗低于Q4組(P0.05)。均衡模式與鍛煉模式各強度活動時間百分比及總能耗比較,差異均無統(tǒng)計學意義(P0.05)。結論以靜態(tài)活動為主的久坐模式是超重、肥胖的危險因素,鍛煉模式并不能完全保護個體久坐對健康的消極影響,通過低強度體力活動累積而獲得高水平能量消耗量增加的居家模式可補償久坐對健康的危害。
[Abstract]:Background increased physical activity is one of the most important health promotion measures, and its health effects have been related to the occurrence, development and prognosis of overweight, obesity and related chronic diseases, while a large number of sedentary behaviors are independent of the level of moderate and high-intensity physical activity. Increases the risk of overweight, obesity, and related chronic diseases. Therefore, it is one-sided to assess the true effects of physical activity and obesity and focus only on moderate and high-intensity activities or sit-ins. The relationship between overweight and obesity in daily life should be considered comprehensively. Objective to explore the different physical activity patterns and overweight of urban adult residents. Methods from March to October, 2013, 756 adult residents in Nanjing and Shanghai were investigated by multi-stage random sampling. The sex and age of the subjects were collected. The subjects' physical activity time was investigated by physical activity log for 7 days. Factor analysis was used to evaluate the physical activity pattern of the subjects. The factor scores of each physical activity pattern were divided into four groups with equal distance, and the subjects were divided into Q1 group and Q2 group from low to high. Results the overweight rate and obesity rate of Q3 group and Q4 group were 33.2 / 251 / 756) and 6.3 / 48 / 756 / 756 respectively. The rate of obesity was higher than that of female (蠂 ~ 2 = 23.80 / 8.79, P = 0.01). There was significant difference in overweight rate among different age groups (蠂 ~ 2 = 23.20). The main factors were the first four factors extracted by factor analysis, the characteristic values were 2.52 / 2.00 1.45 and 1.18 respectively, and the cumulative contribution rate was 57.5, which was named the sedentary model respectively. Family model, equilibrium model, exercise mode. Logistic regression analysis showed that after adjusting for confounding factors, the sedentary model was the risk factor of overweight, obesity, and the family model was overweight. The protective factors of obesity were as follows: no equilibrium model was found, exercise pattern was associated with overweight, obesity risk, and moderate activity was found in Q1 and Q4 groups. Compared with the percentage of high intensity activity time, the difference was not statistically significant (P 0.05). The percentage of sitting time in Q1 group was lower than that in Q4 group, the percentage of low intensity activity time was higher than that in Q4 group, and the total energy consumption was higher than that in Q4 group. Compared with the percentage of high intensity activity time, the difference was not statistically significant (P 0.05). The percentage of sitting time in Q1 group was higher than that in Q4 group, and the percentage of low intensity activity time in Q1 group was lower than that in Q4 group. The total energy consumption of Q4 group was lower than that of Q4 group (P 0.05). The percentage of activity time and the total energy consumption of each intensity of equilibrium mode and exercise mode were compared. Conclusion the sedentary mode with static activity is the risk factor of overweight and obesity. Exercise mode can not completely protect the negative effect of individual sedentary on health. The increase of high energy consumption through the accumulation of low intensity physical activity can compensate for the harm of sedentary to health.
【作者單位】： 上海體育學院運動科學學院;陜西理工大學體育學院;國家體育總局體育科學研究所;
【基金】：國家科技支撐計劃資助項目(2012BAK23B02)
【分類號】：R589.2
【正文快照】： Relationship between Physical Activity Patterns and Overweight and Obesity in Community Adult Residents LI Mi-huan,LI Guo-qiang,JIANG Chong-min.School of Kinesiology,Shanghai University of Sport,Shanghai 200438,ChinaTo explore the relationship between di

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